Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Regional Primary Care Corporation

Organization Obstetrics & Gynecology Physician · NPI 1619470333

Southeast Regional Primary Care Corporation is an Obstetrics & Gynecology Physician in Vidalia, Georgia. Works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Phone: (912) 537-1014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 278 S Main St, Baxley, GA 31513-0102 — (833) 644-5433
  • 1707 Meadows Ln Ste A, Vidalia, GA 30474-7201 — (912) 537-1014

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1619470333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony O'Steen — Cfo · (912) 535-5560
Other names Meadows Medical Group Womens Center
NPI enumeratedMarch 9, 2018
Last updated in NPPESSeptember 5, 2019
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia